NPI | 1649202359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00012900) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD00012900) |
207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: WA MD00012900) | |
207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: WA MD00012900) | |
207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: WA MD00012900) | |
207XX0005X Orthopaedic Surgery Sports Medicine (Licence: WA MD00012900) | |
207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: WA MD00012900) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2007-07-08 |